Evidence map›Paper›PMID 32322455›Full record

ArticleNMC case report journal2020

Mechanical Thrombectomy for Postoperative Stroke in a Patient with Acute Aortic Dissection Type A.

Hiromu Kehara, Syuichi Urashita, Toshihito Gomibuchi, Kazunori Komatsu, Kouhei Takahashi, Katsuaki Tsukioka, Takamitsu Terasaki, Tetsuya Kono, Naomichi Wada, Yukinari Kakizawa and 2 more

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In one paragraph

Article in NMC case report journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Hiromu KeharaDepartment of Cardiovascular Surgery, Suwa Red Cross Hospital, Suwa, Nagano, Japan.
Syuichi UrashitaDepartment of Cardiovascular Surgery, Kumamoto Red Cross Hospital, Kumamoto, Kumamoto, Japan.
Toshihito GomibuchiDepartment of Cardiovascular Surgery, Suwa Red Cross Hospital, Suwa, Nagano, Japan.
Kazunori KomatsuDepartment of Cardiovascular Surgery, Suwa Red Cross Hospital, Suwa, Nagano, Japan.
Kouhei TakahashiDepartment of Cardiovascular Surgery, Iida Municipal Hospital, Iida, Nagano, Japan.
Katsuaki TsukiokaDepartment of Cardiovascular Surgery, Iida Municipal Hospital, Iida, Nagano, Japan.
Takamitsu TerasakiDepartment of Cardiovascular Surgery, Suwa Red Cross Hospital, Suwa, Nagano, Japan.
Tetsuya KonoDepartment of Cardiovascular Surgery, Suwa Red Cross Hospital, Suwa, Nagano, Japan.
Naomichi WadaDepartment of Neurosurgery, Suwa Red Cross Hospital, Suwa, Nagano, Japan.
Yukinari KakizawaDepartment of Neurosurgery, Suwa Red Cross Hospital, Suwa, Nagano, Japan.
Jun-Ichi KoyamaNeuroendovascular Therapy Center, Shinshu University Hospital, Matsumoto, Nagano, Japan.
Kenji OkadaDepartment of Cardiovascular Surgery, Kobe University, Kobe, Hyogo, Japan.
Suwa Red Cross Hospital · JPNagano Municipal Hospital · JPJapanese Red Cross Kumamoto Hospital · JPKobe University · JPShinshu University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mechanical thrombectomy has been proposed to expand the treatment time window and enhance revascularization. However, it is unclear whether its use can be extended to patients with occlusions in acute aortic dissection, especially the thoracic aorta. A 55-year-old man underwent graft replacement for acute aortic dissection type A. On postoperative day 2, he developed stroke and computed tomography showed occlusion of the right middle cerebral artery. Mechanical thrombectomy was performed by transbrachial approach. Although successful recanalization was achieved, he suffered hemorrhagic stroke. Since there is no other effective treatment and the neurologic outcome with conservative management is poor, we consider mechanical thrombectomy to be a viable therapeutic option for the treatment of postoperative stroke in patients with acute aortic dissection type A. However, further study is warranted regarding the safety of this technique.

Indexed as

acute aortic dissection type Amechanical thrombectomytransbrachial approach

Identifiers

PMID32322455
PMCPMC7162810
OpenAlexW3013315814

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.